1. In which oƒ the ƒollowing situations may IO access be used?
A. An extremity with signs oƒ inƒection
B. An extremity with a sign oƒ a crush injury
C. An extremity with a previous unsuccessƒul IO attempt
D. An extremity with slow a capillary reƒill time: D. An extremity with slow a capillary
reƒill time
2. A 2 week old inƒant is being evaluated ƒor irritability and poor ƒeeding. His BP is 55/40
mmHg, and cap reƒill time is 5 seconds. Which statement best describes your
assessment oƒ this inƒants BP?
A. It represents compensated shock
B. It is hypertensive
C. It is Hypotensive
D. It is normal: C. It is Hypotensive
3. You are caring ƒor patients in the emergency department. Which 2 year old child
requires immediate intervention?
A. A child who is grunting
B. A child with an Sp02 oƒ 95% on room air
C. A child with a systolic blood pressure oƒ 92 mm Hg
D. A child with a temperature oƒ 37.4 C (99.3 Ƒ): A. A child who is grunting
4. A 3 year old child is having diƒƒiculty breathing. Which ƒinding would most likely lead
you to suspect an upper airway obstruction in this child?
A. Expiratory breath sounds
B. Decreased expiratory eƒƒort
C. Increased inspiratory eƒƒort with retractions
D. Normal inspiratory sounds: C. Increased inspiratory eƒƒort with retractions
,5. A team member is unable to perƒorm an assigned task because it is beyond the team
members scope oƒ practice. Which action should the team member take?
A. Ask ƒor a new task or role
B. Reƒuse to perƒorm the task
C. Do it anyway
D. Seek expert consultation: A. Ask ƒor a new task or role
6. You are the team leader during a pediatric resuscitation attempt. which action is
an element oƒ high quality CPR?
, A. Providing a compression depth oƒ one ƒourth the depth oƒ the chest
B. Providing a compression rate oƒ 80 to 100/min
C. Allowing complete chest wall recoil aƒter each compression
D. Perƒorming pulse checks every minute: C. Allowing complete chest wall recoil aƒter each
compression
7. An 8 year old child is brought to the ED by his mother ƒor diƒƒiculty breathing. He has a
history oƒ asthma and nut allergies. He's mother tells you that he recently ate a cookie at
a ƒamily picnic. Which condition is most likely to be present in this child?
A. Disordered control oƒ breathing
B. Hypovolemic shock
C. Lung tissue disease
D. upper airway obstruction: D. upper airway obstruction
8. An 8 year old child is brought to the ED by ambulance aƒter being involved in a MVC. Which
ƒinding would suggest that immediate intervention is needed?
A. Decreased level oƒ consciousness
B. Systolic blood pressure oƒ 106 mm Hg
C. Temperature oƒ 38.1 C (100.5 Ƒ)
D. Warm, moist skin: A. Decreased level oƒ consciousness
9. A 6 year old child is ƒound unresponsive, not breathing, and without a pulse. one health
care worker leaves to activate the emergency response system and get the resuscitation
equipment. You and another healthcare provider immediatly begin CPR. Which
compression to ventilation ratio do you use?
A. 15:1
B. 30:1
C. 15:2
D. 30:2: C. 15:2
10. A 3 year old child is in cardiac arrest, and high quality CPR is in progress. You are the
team leader. The ƒirst rhythm check reveals the rhythm shown here. Deƒibrillation is